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Scholarship Renewal Form

Please submit this form by January 31, 2025, to renew your scholarship for the 2025-2026 school year.

Name

First

(first)

Middle Initial

(middle initial)

Last

(last)

Address

Address?

(number and street)

City/Town

(city)

State/Province

(state)

ZIP/Postal Code

(zip code)

Student ID #

Email

Phone

The Governor’s Cup Scholarship Program rules require recipients to annually file a statement of intent to continue as a full-time undergraduate student. Please complete this questionnaire and return it to the program manager no later than January 30^th.

I intend to enroll Fall 2025

Institution Name

Institution Address

City/Town

(city)

State/Province

(state)

ZIP/Postal Code

(zip code)

I do not intend to enroll in 2025 – 2026 due to one of the following:

Graduation

End of Eligibility

Requesting Leave of Absence or Suspension (must submit letter explaining by January 30th due date)

Other (please explain)

Selection Criteria

Current Grade Point Average

Cumulative Grade Point Average

Grade Level in Fall 2025

Senior

Junior

Sophomore

Freshman

Please include a paragraph below highlighting your college experience and accomplishments. We will use these updates when promoting our scholarship program.

Academic Highlight

I would be interested in potentially speaking or volunteering at the 2025 Idaho Governor's Cup event?

I would be interested in being highlighted on Idaho Governor's Cup social media?

What year were you awarded your scholarship?

Anticipated college graduation date